Autologous blood process at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$157.01
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$573.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$63.03 with WCMG vs $573.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| WCMG | Commercial|All Plans | $63.03 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $177.63 | ↑ +13% |
| United | Commercial|All Other Plans | $178.99 | ↑ +14% |
| United | Commercial|Non-Options PPO | $178.99 | ↑ +14% |
| United | Commercial|Options PPO | $178.99 | ↑ +14% |
| United | Commercial|HMO | $178.99 | ↑ +14% |
| Aetna | Commercial|HMO | $192.21 | ↑ +22% |
| Aetna | Commercial|All Other Plans | $192.21 | ↑ +22% |
| Aetna | Commercial|PPO | $192.21 | ↑ +22% |
| Western Health Advantage | Commercial|All Plans | $200.55 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $212.34 | ↑ +35% |
| Cigna | Commercial|LocalPlus | $222.24 | ↑ +42% |
| Molina | Medicare|All Plans | $225.18 | ↑ +43% |
| Aetna | Medicare|All Plans | $225.18 | ↑ +43% |
| Humana | Commercial|All Plans | $225.18 | ↑ +43% |
| Humana | Medicare|All Plans | $225.18 | ↑ +43% |
| Blue Shield CA | Medicare|PPO | $225.18 | ↑ +43% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +43% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +43% |
| United | Medicare|All Plans | $225.18 | ↑ +43% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $229.20 | ↑ +46% |
| BCBS - Anthem | Medicare|Imperial | $231.94 | ↑ +48% |
| Kaiser | Medicaid|All Plans | $234.93 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $240.66 | ↑ +53% |
| BrightHealth | Commercial|All Plans | $247.70 | ↑ +58% |
| BlueShield | Medicare|Trauma | $281.48 | ↑ +79% |
| Cigna | Commercial|All Other Plans | $296.34 | ↑ +89% |
| Kaiser | Commercial|All Plans | $309.42 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $315.15 | ↑ +101% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +115% |
| Blue Shield CA | Commercial|HMO | $338.07 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $355.26 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $378.18 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $429.75 | ↑ +174% |
| First Health | Commercial|All Plans | $429.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $458.40 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $458.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $475.59 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $573.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $573.00 | ↑ +265% |
Visitor-reported prices
Comments
Autologous blood process at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $264.12 | $162.81 – $470.34 |
| Mercy Hospitals – Bakersfield | Bakersfield | $117.61 | $154.00 – $288.38 |
| Bakersfield Memorial Hospital | Bakersfield | $116.34 | $154.00 – $288.38 |
| St. Joseph's Behavioral Health Center | Stockton | $181.01 | $31.70 – $253.60 |
| St. Joseph's Medical Center Stockton | Stockton | $93.79 | $66.99 – $261.58 |
| Mercy Medical Center Merced | Merced | $175.62 | $98.89 – $320.54 |
| Dominican Hospital | Santa Cruz | $182.70 | $178.99 – $898.61 |
| Northridge Hospital Medical Center | Northridge | $104.63 | $52.50 – $375.00 |